Baw Baw Shire - Application & PPF Form

Baw Baw Shire Kindergarten Application Form
Deferral Form

Yes

Kindergarten Preferences
Date

DayMonthYear
Date
Care Period Input
What year would you like your child to start kindergarten? *
What year would you like your child to start kindergarten? *
What Year Mapped
What program type is this application relevant to?*
Child Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
Your child is eligible age for defering their enrolment, please see above message regarding deferral age for more information, to discuss further please call 5624 2540.
The Government’s No Jab No Play laws require all children to be age-appropriately immunised before enrolment can be confirmed. Further information on immunisation requirements for enrolment in early childhood services is available on the State Government's Better Health Channel at www.betterhealth.vic.gov.au/campaigns/no-jab-no-play
Are your child's immunisation up to date?*

YesNo
Due to the State Government policy No Jab No Play your child may not secure an enrolment place in a funded Kindergarten program if proof of immunisation cannot be provided.
Parent Details
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: You will be notified of all correspondence via email, please use an email address that is regularly monitored.
Would you like to add a second parent / guardian?*

YesNo
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Parent / Guardian 2 Address*

Same as parent / guardian 1Different to parent / guardian 1
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: Parent 2 is registering for enquiry purposes only. No placement correspondence will be emailed directly for actioning.
Language/s spoken at home:
Is an interpreter required?

YesNo
Residency
Are you a resident of BawBaw Shire?*

YesNo
Non Baw Baw Shire residents will not be considered for first round offers unless they can show evidence.
Are you moving to the Shire ?

YesNo
Date Moving to Area*

DayMonthYear
Add Evidence of moving to Baw Baw Shire*

Cancelof
Applying to attend a specific kinder outside my Municipality ?

YesNo
You are considered a non resident of Baw Baw Shire. Your application will be accepted and allocated after the 1st round offers have been completed.
Does this child have a sibling who has previously attended this Kindergarten?

YesNo
P1 Eligible?
P2 Eligible?
Input PPPC
Pre Prep Priority Cohort
Program Selection
All programs and session times listed below are proposed and subject to change. Every effort is made by Kindergarten Services to offer the programs listed below but changes may be required due to increased demand for kindergarten places or to ensure adequate staffing to meet ratios.

Please select the appropriate Year and Program Type below to see the Kindergarten session times:

Born Between	Year Eligible for 3YO	Year Eligible for 4YO
01/05/2020 - 30/04/2021		2025
01/05/2021 - 30/04/2022	2025	2026
01/05/2022 - 30/04/2023	2026

Baw Baw Shire Kindergarten Application Form

Kindergarten Preferences

Child Details

Parent Details

Residency

Program Selection

3 Year Old Kindergarten - Preferences

4 Year Old Kindergarten - Preferences

3 Year Old Kindergarten - Preferences

4 Year Old Kindergarten - Preferences

Additional Information About Your Child

Kinder Fee Subsidy

Declaration